Questionnaire-example-bluebook.json

Real-world NSW My Personal Health Record example

{
  "resourceType": "Questionnaire",
  "text": {
    "status": "generated",
    "div": "<div>\n      <pre>\n        Cathy Jones, female. Birth weight 3.25 kg at 44.3 cm. \n        Injection of Vitamin K given on 1972-11-30 (first dose) and 1972-12-11 (second dose)\n        Note: Was able to speak Chinese at birth.\n      </pre>\n    </div>"
  },
  "status": "completed",
  "authored": "2013-02-19T14:15:00",
  "subject": {
    "reference": "http://www.hl7.org/fhir/Patient/1"
  },
  "author": {
    "reference": "http://www.hl7.org/fhir/Practitioner/1"
  },
  "group": {
    "name": {
      "text": "NSW Government My Personal Health Record, january 2013"
    },
    "group": [
      {
        "name": {
          "coding": [
            {
              "code": "6.1"
            }
          ],
          "text": "Birth details"
        },
        "header": "Birth details - To be completed by health professional",
        "group": [
          {
            "question": [
              {
                "text": "Name of child",
                "answerString": "Cathy Jones"
              },
              {
                "text": "Sex",
                "choice": [
                  {
                    "code": "f"
                  }
                ]
              }
            ]
          },
          {
            "header": "Neonatal Information",
            "question": [
              {
                "text": "Birth weight (kg)",
                "answerDecimal": 3.25
              },
              {
                "text": "Birth length (cm)",
                "answerDecimal": 44.3
              },
              {
                "text": "Vitamin K given",
                "choice": [
                  {
                    "code": "INJECTION"
                  }
                ],
                "group": [
                  {
                    "extension": [
                      {
                        "url": "http://example.org/Profile/questionnaire#visibilityCondition",
                        "valueString": "HAS_VALUE(../choice/code) AND NEQ(../choice/code,'NO')"
                      }
                    ],
                    "question": [
                      {
                        "text": "1st dose",
                        "answerDate": "1972-11-30"
                      },
                      {
                        "text": "2nd dose",
                        "answerDate": "1972-12-11"
                      }
                    ]
                  }
                ]
              },
              {
                "text": "Hep B given y / n",
                "answerBoolean": true,
                "group": [
                  {
                    "question": [
                      {
                        "text": "Date given",
                        "answerDate": "1972-12-04"
                      }
                    ]
                  }
                ]
              },
              {
                "text": "Abnormalities noted at birth",
                "answerString": "Already able to speak Chinese"
              }
            ]
          }
        ]
      }
    ]
  }
}